3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

There were approximately 5 sharp bolts protruding from the fence surrounding the backyard (triangle) outdoor play space.

Corrected Corrected by Mar 5, 2025

Category: physical safety. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

The facility's policy and procedure to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment did not include the prevention and identification of child maltreatment, as required per Announcement C-22-03.

Corrected Corrected by Mar 27, 2025

Category: ratio. Marked corrected in the state record.

3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

A pair of sharp adult scissors were observed in a bin on a shelf, where they were accessible to children in care and posed a potential threat to their health and safety.

Corrected Corrected by Mar 5, 2025

Category: health medication. Marked corrected in the state record.

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Facility person #5, #6 and #7 and staff person #8 and #9, who have worked in child care more than 90 days, did not receive training regarding the emergency plan (See LIS Code Sheet).

Corrected Corrected by Mar 5, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(i) · Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification.

Staff person #2 renewed their certification in pediatric first aid and pediatric CPR on 8/18/2023, following the expiration of their previous certification on 6/30/2023.

Corrected Corrected by Mar 4, 2025

Category: ratio. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Staff person #8 participated in fire safety training on 9/11/2024, more than 12 months following their first day working in childcare (See LIS Code Sheet).

Corrected Corrected by Mar 5, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

Staff person #3 completed mandated reporter training on 1/10/2025, more than 60 months following the completion of their previous training on 12/18/2019.

Corrected Corrected by Mar 5, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #9 may not work in a child care position at the facility.

The record for staff person #1 included a current state police clearance dated 9/13/2024, which was more than 60 months following the date of their previous clearance on 8/7/2019 and a current FBI clearance dated 9/17/2024, which was more than 60 months following the date of their previous clearance on 8/13/2019; The record for staff person #3 included a current child abuse clearance dated 1/15/2025, which was more than 60 months following the date of their previous clearance on 1/12/2020; and the record for staff person #9, who has lived outside of Pennsylvania in the past 5 years, did not include a child abuse clearance from the state where the staff person resided.

Corrected Corrected by Mar 5, 2025

Category: background checks. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months (See LIS Code Sheet).

The director did not complete a minimum of one written evaluation of staff person #8, who has worked in child care for more than 12 months.

Corrected Corrected by Mar 5, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

Trader Joe's lip balm labeled keep out of the reach of children was observed in an unlocked drawer in room 124-G, where it was accessible to children in care. Hand sanitizer labeled keep out of the reach of children was in a wall mounted dispenser in the gym, where it was accessible to children in care.

Corrected Corrected by Mar 5, 2025

Marked corrected in the state record.

3270.66(d) · Toxic plants are not permitted in a child care space.

A Raven ZZ plant, which was identified as being toxic to humans, was observed in room 124-G; and a Pothos plant and Snake plant, which were identified as being toxic to humans, were observed in room 124-C.

Corrected Corrected by Mar 5, 2025

Category: physical safety. Marked corrected in the state record.

3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

Trash that appeared to have been contaminated by human secretions was contained in open receptacles in the gym and rooms 124-C and I.

Corrected Corrected by Mar 5, 2025

Marked corrected in the state record.

3270.69(b) · Hot water temperature, in areas accessible to children, may not exceed 110° F.

The hot water temperature in the bathroom sink used by children in room 124-E and 124-G was measured to be 118° F.

Corrected Corrected by Mar 5, 2025

Category: physical safety. Marked corrected in the state record.

3270.75(b) · A first-aid kit must be inaccessible to children.

An excursion bag containing a first-aid kit was observed in a cubby in the hallway and on a window sill in room 124-E, accessible to children in care.

Corrected Corrected by Feb 19, 2025

Marked corrected in the state record.

3270.82(i) · A toilet area, training chair area, diapering area and sink area shall be equipped with a clean, lidded waste receptacle.

There were no lids on (2) waste receptacles in the bathroom in room 124-E.

Corrected Corrected by Mar 5, 2025

Category: health medication. Marked corrected in the state record.

3270.82(j) · A source of running water for handwashing shall be present in infant and toddler diapering areas. If the running water does not flow directly into a drain that is connected to a sewage system, a receptacle shall be provided to contain the water used for washing. The receptacle shall be emptied into an approved sewage system at least once a day.

A source of running water was not present in the diapering areas in rooms 124-B and C.

Corrected Corrected by Mar 7, 2025

Category: health medication. Marked corrected in the state record.

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

There was no thermometer in the refrigerator used to store children's milk in the prep area.

Corrected Corrected by Mar 5, 2025

Category: nutrition. Marked corrected in the state record.

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency was not displayed in the gym.

Corrected Corrected by Mar 5, 2025

Category: transportation. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The emergency contact information for child #1 was not reviewed by a parent in the past 6 months. The emergency contact information for child #2 was reviewed by a parent on 2/3/2025, more than 6 months following the date the emergency contact form was completed on 7/5/2024. The emergency contact information for child #3 was reviewed by a parent on 2/3/2025, more than 6 months following the date the emergency contact form was completed on 7/18/2024.

Corrected Corrected by Apr 1, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The record for child #3 and #4, a preschool child, included a current health report dated more than 12 months following the date of their previous health report.

Corrected Corrected by Mar 5, 2025

Category: health medication. Marked corrected in the state record.

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The record for staff person #1 and #4 did not include a health assessment conducted within the past 24 months. The record for staff person #2 included a current health assessment dated more than 24 months following the date of their previous health assessment. The record for facility person #7 included an initial health assessment dated following their first day working in childcare (See LIS Code Sheet). The record for facility person #6 included results of initial TB test read more than 12 months prior to providing initial service in a child care setting (See LIS Code Sheet).

Corrected Corrected by Apr 25, 2025

Category: ratio. Marked corrected in the state record.

3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

Written notification of safe routes were not posted by the operator at a conspicuous location in the child care facility.

Corrected Corrected by Mar 5, 2025

Marked corrected in the state record.

3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The financial agreement for child #3 was reviewed by a parent on 2/3/2025, more than 6 months following the date the financial agreement was completed on 7/18/2024.

Corrected Corrected by Mar 5, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

Based on a conversation with staff, it was determined that the facility has not been retaining a copy in the children's files.

Corrected Corrected by Mar 5, 2025

Category: health medication. Marked corrected in the state record.

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Annual emergency drills were not documented and on file at the facility.

Corrected Corrected by May 1, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The fire detection system was not tested every 30 days during the time periods between 3/9 to 4/24/2024; 5/20 to 6/21/2024; and 9/6 to 10/17/2024.

Corrected Corrected by Mar 5, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

The operator did not send a copy of the subsequent updates to their emergency plan to the county emergency management agency.

Corrected Corrected by Apr 1, 2025

Category: physical safety. Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.

Staff person #3 did not obtain an annual minimum of 12 clock hours of child care training.

Corrected Corrected by Mar 4, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

The operator did not notify local traffic safety authorities annually in writing of the program's use of pedestrian and vehicular routes around the child care facility.

Corrected Corrected by Mar 5, 2025

Marked corrected in the state record.

3270.113(d) · A facility person may not use harsh, demeaning or abusive language in the presence of children.

On 3/19/24 at approximately 9:30AM the director was passing by a classroom and observed Staff Person #1 yelling and using harsh and demeaning language towards a child.

Corrected Corrected by May 8, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

The 2 most recent child service reports, including information for the family about the child's growth and development, on file for Child #2, #3, #4, #5, #6, #7, #8, #9 are dated more than 6 months apart.

Corrected Corrected by Feb 21, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

The agreement on file for Child #1 and #9 does not include the child's date of admission.

Corrected Corrected by Mar 25, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(c)/3270.192(2)(iii) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The most recent emergency plan training on file for Staff person #5 is dated 1/3/23, more than 1 year ago,

Corrected Corrected by Mar 25, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(1)(iv)/3270.192(2)(iii) · Training conducted with audio-visual materials recognized by child care professionals is acceptable and may count toward the annual requirement for 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff person #4 included documentation of 9 of 12 required hours of annual training between 12/2022-12/2023. The file for Staff person #6 included documentation of 10 of 12 required hours of annual training between 12/2022-12/2023. The file for Staff person #8 included documentation of 9 of 12 required hours of annual training between 12/2022-12/2023. The file for Staff person #9 included documentation of 9 of 12 required hours of annual training between 12/2022-12/2023.

Corrected Corrected by Mar 28, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(iii)/3270.192(2)(iii) · Competence in lifeguard training is demonstrated by completion of lifeguard training, including first-aid training and cardiopulmonary resuscitation (CPR) for child and infant. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff person #2, the facility lifeguard, includes verification of Lifeguard Certification training dated 7/6/23, after the previous certification expired on 6/11/23.

Corrected Corrected by Feb 21, 2024

Category: health medication. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1, #5, #6, #10 will have until 4/3/24 to complete the required training. Until such time as the required training has been completed, staff person #1, #5, #6, #10 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, #5, #6, #10 staff person #1, #5, #6, #10 may not work in a child-care position at the facility.

Staff person #1, #5, #6, #10 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-based Care: Building Blocks for Quality. Staff person #10 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR.

Corrected Corrected by Feb 22, 2024

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Staff person #1, #5 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/Pediatric CPR; the pre-service training on file for staff person # 1, #5 was dated 8/18/23.

Corrected Corrected by Feb 21, 2024

Category: health medication. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The file for staff person #3 does not include documentation of application of an NSOR certificate prior to date of hire (See IS CODE SHEET) required for provisional hiring under the CPSL; the NSOR on file is dated 9/11/23.

Corrected Corrected by Feb 21, 2024

Category: background checks. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #6, #10, may not work in a child care position at the facility.

The current FBI clearance on file for Staff person #6 is dated 1/22/19, more than 60 months ago. The file for Staff person #10, who resided in Louisiana within 5 years prior to hire, included a Louisiana Criminal History clearance dated 6/8/18, and which expired on 6/8/23, prior to the hire date for Staff person #10, making it invalid.

Corrected Corrected by Mar 25, 2024

Category: background checks. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to Child Protective Services). Staff person/facility person/volunteer #10 will have until 4/3/24 to complete the mandated reporter training. Until such time as the required training has been completed, staff person #10 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #10, staff person #10 may not work in a child-care position at the facility.

Staff person #10 has not completed the mandated reporter training within 90 days of their date of hire (see LIS code sheet).

Corrected Corrected by Mar 25, 2024

Category: supervision. Marked corrected in the state record.

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for Staff person #10, classified as an assistant group supervisor, does not include a high school diploma or a general educational development certificate and 30 credit hours in education or a related human services field; or a high school diploma or a general educational development certificate with 15 credits in education or a related human services field and 1 year of experience with children; or a high school diploma or a general educational development certificate and 2 years experience with children

Corrected Corrected by Mar 25, 2024

Category: supervision. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The most recent staff evaluations on file for Staff person #8 is dated 1/13/23, more than 12 months ago.

Corrected Corrected by Mar 25, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

There was cracked paint and caulk around the window in Room 103 with sharp edges, which could cause in injury to a child.

Corrected Corrected by Mar 27, 2024

Category: physical safety. Marked corrected in the state record.

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

There was a cracked Magna Tile in Room 102. There was a toy figurine with 2 broken pieces, an arm and a leg.

Corrected Corrected by Feb 21, 2024

Category: physical safety. Marked corrected in the state record.

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

There were yarn puff balls measuring smaller than 1 inch in size, reportedly used for craft projects, in Room 106, on a shelf accessible to children still placing objects in their mouths.

Corrected Corrected by Feb 21, 2024

Marked corrected in the state record.

3270.124(b)(1) · Emergency contact information must include the name and birth date of the child.

The emergency contact form on file for Child #9 does not include the child's birthdate.

Corrected Corrected by Feb 22, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

The emergency contact form on file for Child #5 does not include the address for the child's pediatrician/source for medical care.

Corrected Corrected by Mar 25, 2024

Category: health medication. Marked corrected in the state record.

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact form on file for Child #1, #2, and #9 does not include the work address and/or telephone number for the enrolling parent.

Corrected Corrected by Feb 22, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The current emergency contact form on file for Child #2, #5, and #6 does not indicate if the child has any special medical needs, which is needed in an emergency situation.

Corrected Corrected by Feb 22, 2024

Category: health medication. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The most recent 6-month review signature for the emergency contact form on file for Child #2, #4, #5, #6, #7, #8, and #9, is dated more than 6 months after the previous 6-month review signature.

Corrected Corrected by Feb 21, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

The two most recent health assessments on file for Child #4, who was a Young Toddler, are dated 10/5/22 and 7/17/23, more than 6 months apart.

Corrected Corrected by Feb 21, 2024

Category: health medication. Marked corrected in the state record.

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The two most recent health assessments on file for Child #5, who is a preschool age child, are dated 8/23/22 and 10/9/23, more than 12 months apart. The two most recent health assessments on file for Child #6, who is a preschool age child, are dated 10/10/22 and 11/20/23, more than 12 months apart. The two most recent health assessments on file for Child #7, who is a preschool age child, are dated 1/6/23 and 2/7/24, more than 12 months apart. The two most recent health assessments on file for Child #8, who is a preschool age child, are dated 3/12/21 and 3/3/23, more than 12 months apart.

Corrected Corrected by Feb 21, 2024

Category: health medication. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(3) · ·Child #7 must be dismissed from care by close of business on 2/21/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The immunization record on file for Child #7, who is 3 years old, includes 3 of 4 DTAP vaccines recommended by the ACIP for a child this age.

Corrected Corrected by Mar 27, 2024

Category: health medication. Marked corrected in the state record.

3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

There was an Albuterol inhaler in Room 102, labeled for use by a specific child, that had an expiration date of 11/2023, and was therefore not in accordance with the manufacturer's original label. There was a bottle of liquid Benadryl in Room 100, labeled for use by a specific child, that had an expiration date of 1/2023, and was therefore not in accordance with the manufacturer's original label.

Corrected Corrected by Feb 21, 2024

Category: ratio. Marked corrected in the state record.

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The 2 most recent health assessments on file for Staff person #7 are dated 6/24/21 and 9/2/23, more than 24 months apart. The 2 most recent health assessments on file for Staff person #8 are dated 6/24/21 and 8/23/23, more than 24 months apart. The two most recent staff evaluations on file for Staff person #9 are dated 4/17/21 and 7/24/23, more than 24 months apart.

Corrected Corrected by Feb 21, 2024

Category: ratio. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The file for Staff person #10 does not include 2 written non-family references attesting to the staff person's suitability to work in child care.

Corrected Corrected by Feb 22, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

The agreement on file for Child #3 does not include the persons to whom the child can be released.

Corrected Corrected by May 5, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

The Health and Safety professional development training update on file for Staff person #2 is dated 1/2/23, after the deadline of 12/30/22, as per Announcement C-22-06. The Health and Safety professional development training update on file for Staff person #4 is dated 1/8/23, after the deadline of 12/30/22, as per Announcement C-22-06. The Health and Safety professional development training update on file for Staff person #6 is dated 1/10/23, after the deadline of 12/30/22, as per Announcement C-22-06. The file for Staff member #9 does not include the 1-hour Health & Safety update, due to be completed by 12/30/22, as per Announcement C-22-06.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

3270.31(e)(1)(iii)/3270.192(2)(iii) · Training conducted in conferences or workshops is acceptable and may count toward the annual requirement for 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff person #4 was observed not to have completed 12 hours of annual training between 12/19/21-12/19/23.

Corrected Corrected by Apr 4, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Staff person #1 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-based Care: Building Blocks for Quality; the training was completed on 2/14/23. Staff person #8 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-based Care: Building Blocks for Quality. Staff person #9 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-based Care: Building Blocks for Quality.

Corrected Corrected by Apr 4, 2023

Category: health medication. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The file for staff person #1 included a Child Abuse clearance dated after hire (See IS CODE SHEET), required for provisional hiring under the CPSL; the clearance is dated 8/26/22.

Corrected Corrected by Aug 26, 2022

Category: background checks. Marked corrected in the state record.

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

There were infant feeding bottles in Room 105 that were not labeled with the name of the child for whom they were intended.

Corrected Corrected by Feb 23, 2023

Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The two most recent staff evaluations on file for Staff person #2 are dated 12/6/21 and 1/13/23, more than 12 months apart. The two most recent staff evaluations on file for Staff person #4 are dated 12/6/21 and 1/9/23, more than 12 months apart. The two most recent staff evaluations on file for Staff person #5 are dated 12/7/21 and 1/13/23, more than 12 months apart. The two most recent staff evaluations on file for Staff person #6 are dated 12/17/21 and 1/13/23, more than 12 months apart. The two most recent staff evaluations on file for Staff person #7 are dated 6/7/19 and 1/13/23, more than 12 months apart.

Corrected Corrected by Jan 13, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

The cabinet door in Room 102 which was loose from the hinge, creating a potential hazard if it fell off the hinge.

Corrected Corrected by Apr 4, 2023

Category: physical safety. Marked corrected in the state record.

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

There was peeling paint behind the teacher's chair in Room 108.

Corrected Corrected by Feb 23, 2023

Category: physical safety. Marked corrected in the state record.

3270.102(a) · Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

There were cracked magnet tiles in Room 101 and in Room 100. There was a wooden block in Room 102 that was splintered, creating a possible hazard to a child.

Corrected Corrected by Feb 23, 2023

Category: physical safety. Marked corrected in the state record.

3270.123(a) · An agreement shall be signed by the operator and the parent.

The agreement on file for Child #6 is not signed by the operator.

Corrected Corrected by Apr 4, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

The two most recent child service reports on file for Child #3, #4, #5, #6, #7, and #8 are dated more than 6 months apart.

Corrected Corrected by Feb 23, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

The agreement on file for Child #6 does not include the child's arrival and departure times.

Corrected Corrected by May 5, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission. A child's record shall contain the dates of application, admission and withdrawal of the child.

The agreement on file for Child #3, #6, and #7 does not include the child's date of admission.

Corrected Corrected by May 5, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

The emergency contact form on file for Child #7 and #8 does not include the work address and/or telephone number for the enrolling parent.

Corrected Corrected by May 5, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

The current emergency contact form on file for Child #1, #3, and #8 does not indicate if the child any special medical needs, which is needed in an emergency situation.

Corrected Corrected by May 5, 2023

Category: health medication. Marked corrected in the state record.

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The emergency contact form on file for Child #3, #6, and #8 does not include the health insurance coverage and/or policy number for the medical insurance policy.

Corrected Corrected by May 26, 2023

Category: health medication. Marked corrected in the state record.

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The emergency contact form on file for Child #1, #2, #3, #7, and #8 does not include a complete address for all listed release persons.

Corrected Corrected by May 26, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

There was no medical emergency transportation plan posted in Room 103.

Corrected Corrected by Feb 23, 2023

Category: transportation. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The two most recent emergency contact form 6-month review signatures on file for Child #2 are dated 8/9/21 and 8/2/22, more than 6 months apart. The two most recent agreement 6-month review signatures on file for Child #2 are dated 8/4/21 and 3/22/222, more than 6 months apart; and the most recent review signature is dated more than 6 months ago. The two most recent agreement and emergency contact form 6-month review signatures on file for Child #3 are dated 8/25/21 and 3/22/22, more than 6 months apart, and more than 6 months ago. The two most recent emergency contact form 6-month review signatures on file for Child #4 are dated 8/9/21 and 8/2/22, more than 6 months apart. The two most recent agreement 6-month review signatures on file for Child #4 are dated 8/9/21 and 3/7/22, which are more than 6 months apart and more than 6 months ago. The 2 most recent emergency contact form 6-month review signature on file for Child #5 are dated 1/3/21 and 8/3/22, more than 6 months apart; and the 2 most recent agreement 6-month review signatures are dated 1/3/21 and 3/7/22, more than 6 months apart and more than 6 months ago. The two most recent agreement and emergency contact form 6-month review signatures on file for Child #6 are dated 3/7/22 and 8/9/22. The two most recent emergency contact form 6-month review signatures on file for Child #7 are dated 8/13/21 and 8/13/22, more than 6 months apart; and the agreement 6-month review signatures are dated 8/23/21 and 3/11/22, more than 6 months apart and more than 6 months ago. The two most recent emergency contact form 6-month review signatures on file for Child #8 are dated 8/9/21 and 8/16/22, more than 6 months apart; and the agreement 6-month review signatures are dated 8/9/21 and 3/23/22, more than 6 months apart and more than 6 months ago.

Corrected Corrected by May 26, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The most recent health assessment on file for Child #2, who is 4 years old, is dated 1/24/22, more than 1 year ago.

Corrected Corrected by May 26, 2023

Category: health medication. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(3) · ·Child #2, #3, #5, #6, and #8 must be dismissed from care by close of business on 4/4/23 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

The most recent influenza vaccination on file for Child #2, who is 4 years old, is dated 10/23/21, is dated more than 1 year ago, and is recommended annually by the ACIP. The most recent influenza vaccination on file for Child #3, who is 4 years old, is dated 9/25/20, is dated more than 1 year ago, and is recommended annually by the ACIP. The immunization record on file for Child #5 includes 3 of 4 recommended DTAP immunizations for a child this age. The file for Child #6, with an enrollment date of 8/21/22, does not include aa immunization record. The file for Child #8, with an enrollment date of 8/23/21, does not include an immunization record.

Corrected Corrected by May 26, 2023

Category: health medication. Marked corrected in the state record.

3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

There was no written parental consent to administer medication. saline spray, for a child in Room 105.

Corrected Corrected by Feb 23, 2023

Category: ratio. Marked corrected in the state record.

3270.133(7)(i) · A medication log shall include the name of the medication.

There was a medication log on file in Room 108 with a child's name, signed by a parent, that did not include the name of the medication to be administered.

Corrected Corrected by Feb 24, 2023

Category: health medication. Marked corrected in the state record.

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The 2 most recent health assessments on file for Staff person #2 were dated 5/21/19 and 7/2/21, more than 24 months apart. The 2 most recent health assessments on file for Staff person #3 were dated 5/17/19 and 9/13/21, more than 24 months apart. The 2 most recent health assessments on file for Staff person #4 were dated 4/5/19 and 7/11/22, more than 24 months apart. The 2 most recent health assessments on file for Staff person #5 were dated 6/10/19 and 7/7/22, more than 24 months apart. The 2 most recent health assessments on file for Staff person #6 were dated 5/29/20 and 7/5/22, more than 24 months apart.

Corrected Corrected by Feb 23, 2023

Category: ratio. Marked corrected in the state record.

3270.151(c)(3)/3270.192(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The current health assessment on file for Staff person #2 indicates that the staff person has a communicable/contagious disease, with no additional information given.

Corrected Corrected by May 26, 2023

Category: health medication. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The file for Staff person #4 includes only 1 written nonfamily reference.

Corrected Corrected by Apr 4, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)/3270.182(1) · The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

The file for Child #3, with an enrollment date of 8/28/21, does not include a health assessment. The file for Child #6, with an enrollment date of 8/21/22, does not include a health assessment. The file for Child #8, with an enrollment date of 8/23/21, does not include a health assessment.

Corrected Corrected by May 26, 2023

Category: health medication. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The facility does not have proof of purchase for the fire detection system, which is required as per Act 62.

Corrected Corrected by Nov 2, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation.Conditions at the facility may not pose a threat to the health or safety of the children.

The emergency plan on site does not include provisions regarding volunteer emergency preparedness training, and continuity of operations, required as of 7/1/22, as per Announcement C-22-04.

Corrected Corrected by Sep 13, 2022

Category: ratio. Marked corrected in the state record.

3270.27(a)(3) · The facility shall have an emergency plan that provides for a method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

The emergency plan on site at the facility does not include a method for parents to be contacted when an emergency arises.

Corrected Corrected by Sep 13, 2022

Category: physical safety. Marked corrected in the state record.

3270.27(a)(4) · The facility shall have an emergency plan that provides for a method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

The emergency plan on site at the facility does not include a method for parents to be informed when the emergency has ended and information regarding how they are to be reunited with their child.

Corrected Corrected by Sep 13, 2022

Category: physical safety. Marked corrected in the state record.

3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

The facility does not have verification of having sent the updated emergency plan to the local municipality and county emergency management agency, as per Announcement C-22-04.

Corrected Corrected by Sep 13, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(1) · An agreement shall specify the amount of the fee to be charged per day or per week.

The agreement on file for Child #3 and #5 does not include the fee to be paid for services.

Corrected Corrected by Sep 13, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Staff person #1, #4, #5, #6, #7, #8, #9, #10, #11 will have until 8/30/22 to complete the required training. Until such time as the required training has been completed, staff person #1, #4, #5, #6, #7, #8, #9, #10, #11 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #1, #4, #5, #6, #7, #8, #9, #10, #11, staff person #1, #4, #5, #6, #7, #8, #9, #10, #11 may not work in a child-care position at the facility.

Staff person #1, #4, #5, #6, #7, #8, #9, #10, #11 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Get Started with Center-based Care: Building Blocks for Quality.

Corrected Corrected by Sep 13, 2022

Category: supervision. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

The 2 most recent mandated reporter trainings on file for Staff person #2 are dated 1/7/15 and 7/3/20, more than 60 months apart. The 2 most recent mandated reporter trainings on file for Staff person #3 are dated 5/4/16 and 6/8/21, more than 60 months apart.

Corrected Corrected by Jul 25, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing.A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for Staff person #15, who is classified as an aide, does not include a high school diploma or a general educational development certificate; or a minimum of an 8th grade education and 2 years of experience with children.

Corrected Corrected by Aug 5, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

There was a missing outlet cover in Room 102.

Corrected Corrected by Jul 25, 2022

Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

There were several holes and cracks in the poured playing surface in the Front playground and in the side (Triangle ) playground. There were wood railroad ties used as borders in the side (Triangle) playground with splintered areas, creating a hazard.

Corrected Corrected by Sep 13, 2022

Category: physical safety. Marked corrected in the state record.

3270.123(a) · An agreement shall be signed by the operator and the parent.

The file for Child #1 does not include a signed agreement. The agreement on file for Child #5 does not include the operator's signature.

Corrected Corrected by Sep 13, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6)/3270.182(2) · An agreement shall specify the date of the child's admission.A child's record shall contain the dates of application, admission and withdrawal of the child.

The agreement on file for Child #1, #3, and #5 does not include the child's date of admission.

Corrected Corrected by Sep 13, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The emergency contact form on file for Child #3 does not include the health insurance coverage and policy number for the medical insurance policy.

Corrected Corrected by Sep 13, 2022

Category: health medication. Marked corrected in the state record.

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The emergency contact form on file for Child #3 does not include the complete address for all listed release persons.

Corrected Corrected by Sep 13, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the informationA parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

The file for Child #1,#2,#4, #5, who have been enrolled for more than 6 months, do not include a 6 month review signature for the agreement and emergency contact form.

Corrected Corrected by Sep 13, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.131(c) · A health report must be written and signed by a physician, physician's assistant or a CRNP. The signature must include the individual's professional title.

The health assessment on file for Child #2 does not include a date, making it invalid

Corrected Corrected by Sep 13, 2022

Category: health medication. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The most recent influenza vaccination on file for Child #4, who is 5 years old, is dated 11/5/20, which is dated more than 1 year ago, as recommended annually for a child this age. The most recent influenza vaccination on file for Child #5, who is 3 years old, is dated 10/12/20, which is dated more than 1 year ago, as recommended annually for a child this age.

Corrected Corrected by Sep 13, 2022

Category: health medication. Marked corrected in the state record.

3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

A diaper change was observed in Room 106 after which the staff did not ensure that the child's hands were washed.

Corrected Corrected by Sep 13, 2022

Category: health medication. Marked corrected in the state record.

3270.135(a)(3) · If disposable diapers are provided by a parent or by a facility, a soiled diaper shall be discarded by immediately placing the diaper into a plastic-lined, hands-free covered can.

A diaper change was observed in Room 106, and the staff person was observed using their hand to open the hands free can when disposing of the diaper.

Corrected Corrected by Sep 13, 2022

Category: health medication. Marked corrected in the state record.

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The most recent health assessment on file for Staff person #6, dated 7/1/22, is dated more than 24 months after the previous health assessment, dated 5/20/20. The most recent health assessment on file for Staff person #7, dated 7/8/22, is dated more than 24 months after the previous health assessment, dated 5/24/19. The most recent health assessment on file for Staff person #13 is dated 9/25/19, more than 24 months ago. The most recent health assessment on file for Staff person #14, dated 8/27/20, is dated more than 24 months after the previous health assessment, dated 2/23/18. The initial health assessment and Tuberculosis screening on file for Staff person #15 is dated after the hire date (See LIS Code Sheet).

Corrected Corrected by Sep 13, 2022

Category: ratio. Marked corrected in the state record.

3270.151(c)(3)/3270.192(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The current health assessment on file for Staff person #16 indicates that the staff person has a communicable/contagious disease, with no additional information given.

Corrected Corrected by Sep 13, 2022

Category: health medication. Marked corrected in the state record.

3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

There was a child under 12 months old in the infant room who did not have a written feeding plan on file submitted by the parent.

Corrected Corrected by Sep 13, 2022

Category: nutrition. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

The file for Staff person #15 includes only 1 written nonfamily reference.

Corrected Corrected by Sep 13, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

Staff person #6, #13 does not have verification of completing 12 hours of annual training between 12/19/20-12/19/21, as per Announcement C-20-09.

Corrected Corrected by Sep 13, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.133(6) · A parent shall provide written consent for administration of medication or a special diet.

Staff gave Children's Tylenol to a child without written consent for administration from the parent.

Corrected Corrected by Feb 22, 2022

Category: ratio. Marked corrected in the state record.

3270.133(7) · An operator is responsible to establish and maintain a medication log if prescription or nonprescription medication is administered.

Staff who administered Children's Tylenol to a child in care did not establish a medication log for the medication that was administered.

Corrected Corrected by Feb 22, 2022

Category: health medication. Marked corrected in the state record.

3270.136(d) · A facility person who knows of a communicable disease for which 28 Pa. Code Chapter 27 (relating to communicable and noncommunicable diseases) requires reporting, or who knows of a group expression of an illness which may be of public concern, whether or not it is known to be of a communicable nature, shall report it promptly to the appropriate division of the Department of Health as specified in Chapter 27, or to a local department of health.

Facility failed to promptly notify OCDEL of a positive COVID test result that occurred on Saturday, 12/18/21; OCDEL did not receive notification of the positive COVID test result until Wednesday, 12/22/21, which was more than 24 hours.

Corrected Corrected by Dec 22, 2021

Category: health medication. Marked corrected in the state record.

3270.94(a)(1) · Fire drills are conducted at least once every 60 days.

Upon review of the facility's fire drill log, the fire drills conducted on 3/3/21 and 5/25/21 were more than 60 days.

Corrected Corrected by Jul 29, 2021

Category: physical safety. Marked corrected in the state record.

3270.21 · Conditions at the facility may not pose a threat to the health or safety of the children.

In Rooms 100 and 101 the pull chain for the blinds on the 9.5 foot tall windows were observed to be hanging low and accessible to the children in care causing a potential choking hazard.

Corrected Corrected by Jul 29, 2021

Category: health medication. Marked corrected in the state record.

3270.32(a)/3270.192(2)(iii) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The staff file for Staff person #4 contained current mandated reporter training dated 8/21/20 which was renewed more than 60 months from the previously dated 5/26/15 mandated reporter training on file.

Corrected Corrected by Jul 29, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The file for Facility person #8, who has a start date working at the facility of 6/7/21, lacked a valid disclosure statement; the disclosure on file was not dated. The staff file for staff for Staff person #5, who has a start date working with children of 6/17/19, lacked an National Sex Offender Registry (NSOR) certificate on file by 7/1/20 as required by the Child Protective Service Law (CPSL); an NSOR certificate dated 4/1/21 is on file.

Corrected Corrected by Jul 29, 2021

Category: background checks. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

The staff file for Staff person #1 lacked an annual staff evaluation; the most recent evaluation on file is from 2019. The staff file for Staff person #2, Staff person #4, and Staff person #6 contained staff evaluations that were not done on an annual basis; the dates of the two most recent evaluations were 11/14/19 and 12/17/20. The staff file for Staff person #3, who has a start date working with children of 11/18/19, lacked a staff evaluation for 2020; a staff evaluation dated 6/22/21 is on file. The staff file for Staff person #5, who has a start date working with children of 6/17/19, lacked a staff evaluation for 2021; the last evaluation on file is dated 6/24/20. The staff file for Staff person #7, who has a start date working with children of 12/17/19, lacked a staff evaluation for 2020; a staff evaluation dated 6/11/21 is on file.

Corrected Corrected by Sep 1, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.82(h) · A facility person and an able child shall wash his hands after toileting and before eating. A sign on which this requirement is written shall be posted at each toilet, training chair, diapering area and sink in the facility.

The toilet located in the bathroom adjoining rooms 108 and 109 lacked a handwashing sign.

Corrected Corrected by Jul 29, 2021

Category: health medication. Marked corrected in the state record.

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

In Room 102 nine resting mats were observed to not be labeled for the use of a specific child.

Corrected Corrected by Jul 29, 2021

Category: physical safety. Marked corrected in the state record.

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The child file for Child #3 contained an emergency contact information form that lacked the health insurance policy number.

Corrected Corrected by Sep 1, 2021

Category: health medication. Marked corrected in the state record.

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

The child file for Child #1 and Child #3 contained an emergency contact information form that lacked the addresses for two of the designated release persons listed.

Corrected Corrected by Sep 1, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

At approximately 10:15am, 6 young toddlers were observed to be outside on the playground and staff did not have their emergency contact information forms with them while the children were receiving care on the playground.

Corrected Corrected by Jul 29, 2021

Category: recordkeeping. Marked corrected in the state record.

3270.131(e) · The facility may not accept or retain an infant 2 months of age or older, a toddler or a preschool child at the facility for more than 60 days following the first day of attendance at the facility unless the parent provides written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of the dates (month, day and year) the child was administered immunizations in accordance with the recommendations of the ACIP.

The child file for Child #2, who has been enrolled in care since 8/4/20, lacked a copy of their immunization record.

Corrected Corrected by Sep 1, 2021

Category: health medication. Marked corrected in the state record.

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

The staff file for Staff person #1 contained a current health assessment dated 4/27/21 which was updated more than 24 months from the previously dated 5/21/18 health assessment on file. The staff file for Staff person #5 contained a current health assessment dated 4/8/21 which was updated more than 24 months from the previously dated 11/6/18 health assessment on file.

Corrected Corrected by Jul 29, 2021

Category: ratio. Marked corrected in the state record.

3270.27(a)(1)/3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for shelter of children during an emergency including lock-down, shelter in place at the facility and shelter at locations away from the facility premises. The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

As of 12/19/20, the facility's emergency plan did not contain a lockdown procedure nor accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions until June 2021.

Corrected Corrected by Jul 29, 2021

Category: physical safety. Marked corrected in the state record.